Amy Lynn Bollenbacher, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06003507A Issued in IN

Practice address

1345 N Madison Ave
Anderson, IN 46011-1215

Phone

(765) 644-2888

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1184958084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 RAMS CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 N MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111215",
            "telephone_number": "765-644-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLENBACHER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003507A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvis Boamah, PHARMD
• Jessica D Bode
• Chloe Bohling
• Joshua Bokelman, RPH.
• Grace Boles, OTR
• Kelly L Bons, PMHNP-BC
• Megan Danielle Sampson Boone, PA
• Philip Timothy Boor III
• Madison Marilyn Borchers, OD
• Stefane Borders, LCSW

• Physical Therapy Assistant in Anderson, IN
• Providers in Anderson, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.